Individual provider Active NPI

Michael Lee Veerman, D.C.

  • Chiropractor
  • New Lenox, IL
National Provider Identifier
1124347430
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011695 Issued in IL
Practice address
305 N Vine St Unit 101
New Lenox, IL 60451-1652
Phone
(815) 717-6483
Fax
(312) 253-1419
NPI assigned
May 26, 2010
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011695 IL Primary

Addresses

Primary practice location

305 N Vine St Unit 101
New Lenox, IL 60451-1652

Mailing address

305 N Vine St Unit 101
New Lenox, IL 60451-1652
Phone (815) 717-6483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110326000049 IL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6709069859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 N Vine St
Unit 101
New Lenox, IL 60451-1652
Phone (815) 717-6483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011695ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Chiropractic LLC Chiropractor PastSince Nov 1, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1124347430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N VINE ST UNIT 101",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511652",
            "telephone_number": "815-717-6483",
            "fax_number": "312-253-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N VINE ST UNIT 101",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511652",
            "telephone_number": "815-717-6483",
            "fax_number": "312-253-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERMAN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.